LOWER LIMP ARTERIO – VENOUS ACCESS FOR HEMODIALYSIS IN PATIENTS WITH CHRONIC END-STAGE RENAL DISEASE

Abstract

As a result of the depletion of the available options arterial venous connection used for dialysis industrial parties Alawites as a result of increasing age of patients with chronic renal failure in addition to the complications of the Central obstructive venous which may lead to the loss of the link in the upper limbs, which have the advantage on the link arterial venous at other sites, such as the lower limbs The al-Sadr and others. Use the lower limbs as the location for the entrance to the blood vessels of the kidney failure patients it is increasingly began. Consequently, our aim is to review the available research and analysis of flow rates and complications for most of the different types of entrances vascular lower limbs parties. As evidenced by the National Kidney Foundation recommendations of the United States of America, which recommended using natural or industrial links in the lower limbs and chest area after the consumption of all the parts available to the parties Alawites. We have multiple types of arterial venous connections in the lower limbs, including natural link using one of the veins of the body such as the saphenous vein and the femoral vein, or industrial link via implanted in multiple ways, using the femoral or popliteal arteries as input, and using or femoral veins Alsafnh as a director. Several private tests work prefer to assess the condition of the arteries and veins of Lower Limb before the decision to take the type of link to be developed, including the clinical examination of the pulse of the arteries when the foot and the use of ultrasound dual vocal own blood vessels and also filmed the arteries and veins using a dye and then exclude the presence of his palaces circulatory peripheral or the presence of a narrow or pulmonary veins to be used to the process. Most studies have indicated that the flow connections dialysis parties the lower rates are not far from the relevant links used for parties Alawites flow rates. Keywords: Chronic Renal Failure, Dialysis industrial, For arterial, venous connection, Blood vessels and Natural or industrial connectors